INSIGHT MENTAL WELLNESS PA

Provider Demographics

• NPI: 1598243479
• Name: INSIGHT MENTAL WELLNESS PA
• Entity Type: Organization
• Organization Name: INSIGHT MENTAL WELLNESS PA
• Other - Org Name: INSIGHT MENTAL WELLNES
• Other - Org Type: Other Name
• Authorized Official - Title/Position: AUTHORIZED OFFICIAL
• Authorized Official - Prefix: DR
• Authorized Official - First Name: GLORIA
• Authorized Official - Middle Name: OLUWATOYIN
• Authorized Official - Last Name: TOLANI
• Authorized Official - Credentials: DNP, APRN, PMHNP-BC
• Authorized Official - Phone: 210-245-7862
• Mailing Address - Street 1: 10807 PERRIN BEITEL RD STE 300
• Mailing Address - City: SAN ANTONIO
• Mailing Address - State: TX
• Mailing Address - Zip Code: 78217-3144
• Mailing Address - Country: US
• Mailing Address - Phone: 210-245-7862
• Mailing Address - Fax: 210-245-7951
• Practice Address - Street 1: 10807 PERRIN BEITEL RD STE 300
• Practice Address - City: SAN ANTONIO
• Practice Address - State: TX
• Practice Address - Zip Code: 78217-3144
• Practice Address - Country: US
• Practice Address - Phone: 210-245-7862
• Practice Address - Fax: 210-245-7951
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2018-08-01
• Last Update Date: 2024-04-26

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	2084P0800X	Allopathic & Osteopathic Physicians	Psychiatry & Neurology	Psychiatry	Group - Multi-Specialty
No	101YM0800X	Behavioral Health & Social Service Providers	Counselor	Mental Health	Group - Multi-Specialty
No	101YP2500X	Behavioral Health & Social Service Providers	Counselor	Professional	Group - Multi-Specialty
No	103T00000X	Behavioral Health & Social Service Providers	Psychologist		Group - Multi-Specialty
No	103TC0700X	Behavioral Health & Social Service Providers	Psychologist	Clinical	Group - Multi-Specialty
No	103TC1900X	Behavioral Health & Social Service Providers	Psychologist	Counseling	Group - Multi-Specialty
No	106H00000X	Behavioral Health & Social Service Providers	Marriage & Family Therapist		Group - Multi-Specialty
No	164W00000X	Nursing Service Providers	Licensed Practical Nurse		Group - Multi-Specialty
No	171M00000X	Other Service Providers	Case Manager/Care Coordinator		Group - Multi-Specialty
No	2084P0804X	Allopathic & Osteopathic Physicians	Psychiatry & Neurology	Child & Adolescent Psychiatry	Group - Multi-Specialty
No	2084P0805X	Allopathic & Osteopathic Physicians	Psychiatry & Neurology	Geriatric Psychiatry	Group - Multi-Specialty
No	363A00000X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant
No	363L00000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner		Group - Multi-Specialty
No	363LP0808X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Psychiatric/Mental Health	Group - Multi-Specialty
No	364SP0807X	Physician Assistants & Advanced Practice Nursing Providers	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Adolescent	Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
TX	395502301	Medicaid